FORM 1023-EZ for WINDS OF CHANGE YOUTH RANCH INC

Field Data
EIN 81-2801775
Case Number EO-2016174-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WINDS OF CHANGE YOUTH RANCH INC
Organization’s Mailing Address PO BOX 1116
City BIG TIMBER
State MT
ZIP 59011
Accounting period End 12
Primary contact name RONALD L COUNTRYMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RONALD COUNTRYMAN
CHAIRPERSON
PO BOX 1116
BIG TIMBER MT 59011

Officer/Director/Trustee Two

KATHY COUNTRYMAN
VICE-CHAIRPERSON
PO BOX 1116
BIG TIMBER MT 59011

Officer/Director/Trustee Three

LINDA BRUNCKHORST
DIRECTOR
PO BOX 783
BIG TIMBER MT 59011

Officer/Director/Trustee Four

KATHY LIPPERT
DIRECTOR
PO BOX 349
BIG TIMBER MT 59011

Officer/Director/Trustee Five

LAURIE PARRENT
SECRETARY/TREASURER
PO BOX 9
BIG TIMBER MT 59011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2016
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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